Individual
MRS. ANGELA DENISE GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 679-8851
(276) 679-8902
Mailing address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 679-8851
(276) 679-8902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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